| NPI | 1831575323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3769) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25012) |
| 225100000X Physical Therapist (Licence: HI 4028) | |
| 225100000X Physical Therapist (Licence: CO 13495) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2018-07-17 |