| NPI | 1487604120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 10914) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 002475) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |