| NPI | 1154185577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 6354) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12819) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2025-04-21 |