| NPI | 1639697006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT003681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032203P) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2024-05-10 |