| NPI | 1275881773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4930) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT39133) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2024-09-02 |