| NPI | 1275276727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM PT-2023-2227) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2168252) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2023-08-02 |