| NPI | 1063080570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4982) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT029768) |
| Enumeration Date | 2021-06-12 |
| Last Update Date | 2022-11-03 |