| NPI | 1548700875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3332) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT292704) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2021-11-17 |