| NPI | 1417907080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT001849) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 010898) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-11-01 |