| NPI | 1265409593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3495) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 4379) |
| 225100000X Physical Therapist (Licence: TN 7932) | |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2022-07-21 |