| NPI | 1245780626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT5320) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A-0862) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2024-09-27 |