| NPI | 1477146439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT-2023-2074) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 4467) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2023-12-01 |