| NPI | 1730162363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 002461) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT002461) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2018-09-04 |