| NPI | 1891127767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3863) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10425) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2025-11-18 |