| NPI | 1306303326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4743) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT5296) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2023-10-05 |