| NPI | 1427613660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 5086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GU PT-148) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2023-08-23 |