| NPI | 1689087314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT00308) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP018672T) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-07-26 |