| NPI | 1821537853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027564) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT291901) |
| 225100000X Physical Therapist (Licence: WV PT 003722) | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2019-11-26 |