| NPI | 1295823938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 3946) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NM Physical Ther. 2983) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-10-19 |