| NPI | 1982902755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV WV PT 002171) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH OH PT 010709) |
| 225100000X Physical Therapist (Licence: PA PA PT 015069) | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |