| NPI | 1821483918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 6396) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 28073) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-07-30 |