| NPI | 1164453908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT5344) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7263) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-06-02 |