| NPI | 1154703460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0017364) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT-2024-0030) |
| 225100000X Physical Therapist (Licence: TX 1325234) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2024-01-30 |