| NPI | 1891359089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 007625) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-02-14 |