| NPI | 1437556263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT5848) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024093) |
| 225100000X Physical Therapist (Licence: WV PT003421) | |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2023-06-19 |