| NPI | 1124365986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT27704) |
| Enumeration Date | 2013-01-13 |
| Last Update Date | 2023-04-06 |