| NPI | 1871891150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 1716) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: WV 1716) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WV 1716) | |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-21 |