| NPI | 1740448091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 5510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 1540) |
| 225100000X Physical Therapist (Licence: WY 939) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2023-08-21 |