| NPI | 1740304641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 002132) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305202943) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2017-02-12 |