| NPI | 1952581852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2985) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6207) |
| 225100000X Physical Therapist (Licence: FL PT 21511) | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2015-09-11 |