| NPI | 1417525577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 5192) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 304384) |
| 225100000X Physical Therapist (Licence: TX 1347040) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2024-07-26 |