NPI | 1023605821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029124) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT-2025-0024) |
Enumeration Date | 2020-12-28 |
Last Update Date | 2025-02-13 |