| NPI | 1417302787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3944) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT295916) |
| 225100000X Physical Therapist (Licence: NM 4348) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2020-09-28 |