| NPI | 1558678565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4903) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1347983) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2025-12-22 |