| NPI | 1255949509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4298) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64433) |
| 225100000X Physical Therapist (Licence: CA 302084) | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2023-12-20 |