| NPI | 1457548752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13313) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT002287) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2022-05-17 |