| NPI | 1225586357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT-4894) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1247702) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2021-08-19 |