| NPI | 1851807630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3302) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT28066) |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2017-12-16 |