| NPI | 1477768356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203753) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV CP011516T) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2025-12-02 |