| NPI | 1790275998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4490) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P17934) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-06-03 |