| NPI | 1174278923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT-2025-0022) |
| 2251N0400X Physical Therapist, Neurology (Licence: NM PT-2025-0022) | |
| 2251N0400X Physical Therapist, Neurology (Licence: FL PT37330) | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2025-02-04 |