| NPI | 1699802314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 1535) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: TN 7691) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2023-06-22 |