| NPI | 1922421338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4905) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037089-1) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2024-07-15 |