| NPI | 1558043885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 6511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 2143) |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2025-12-29 |