| NPI | 1588909204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT-2024-0048) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2093639) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2024-02-15 |