| NPI | 1851841936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 5031) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2006011485) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2023-05-24 |