| NPI | 1750741195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4529) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4728) |
| 225100000X Physical Therapist (Licence: VT 040.0108747) | |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2023-08-07 |