| NPI | 1952859779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3708) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30433) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2021-09-14 |