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 |