| NPI | 1740882257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4798) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25274) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2022-12-01 |