| NPI | 1598437162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4701) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 300727) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-11-02 |