| NPI | 1649754458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4047) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872341) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2022-12-06 |