| NPI | 1588471429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NM PT-2024-0049) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |