| NPI | 1992000699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4166) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38533) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2020-01-15 |