| NPI | 1922237106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 2766) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV 002766) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2012-07-12 |