| NPI | 1033553227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1508) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 2624) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |