| NPI | 1396401790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV CP036933T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28736) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2025-11-26 |