| NPI | 1518329366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210073) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024390) |
| 225100000X Physical Therapist (Licence: WV PT003484) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-08-02 |