| NPI | 1578798443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1984) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: LA 06708) |
| 225100000X Physical Therapist (Licence: LA 06708) | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2015-03-19 |