| NPI | 1679954481 | 
|---|---|
| Former Name | LAYNI ROEVER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1265046) | 
| Enumeration Date | 2015-06-17 | 
| Last Update Date | 2020-11-16 |