| NPI | 1073182002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 5194) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1294650) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-11-09 |