| NPI | 1356821318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT5622) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027182) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-03-11 |