| NPI | 1144658097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2896) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 8552041-2401) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2022-01-28 |