| NPI | 1306876727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT2977) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 2977) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-08-27 |