| NPI | 1710457379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 6216) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT295756) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2023-09-22 |