| NPI | 1396384988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4409) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 11540444-2401) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2021-12-27 |