| NPI | 1285918201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3886) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24484) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2025-07-23 |