| NPI | 1922501840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 003824) |
| 225100000X Physical Therapist (Licence: AZ 13617) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NC P18654) | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2022-09-13 |