| NPI | 1194240713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293353) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2025-09-14 |