| NPI | 1710407994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4154) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT32655) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-11-20 |