| NPI | 1477118701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: LA 10259) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT-2023-2272) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2023-09-13 |