| NPI | 1932724838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 6658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 10605) |
| 225100000X Physical Therapist (Licence: HI PT-5338) | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2025-06-11 |