| NPI | 1780861369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4925) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11727) |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2024-10-18 |