| NPI | 1760578991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3312) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7406) |
| 225100000X Physical Therapist (Licence: NM 4482) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-09-13 |