| NPI | 1255707618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3020) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41962) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2021-03-03 |