| NPI | 1568878288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT003315) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT005016) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |