| NPI | 1467067082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4387) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NV 4387) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-18 |