| NPI | 1508381450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3447) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61971) |
| 225100000X Physical Therapist (Licence: UT 10092284-2401) | |
| 225100000X Physical Therapist (Licence: MD 25294) | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2022-07-21 |