| NPI | 1114443298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 5001) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3607) |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2023-04-20 |