| NPI | 1710907100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11579) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 2572) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-03-08 |