| NPI | 1235884065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4907) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT38380) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-07-06 |