| NPI | 1598096398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT-2023-2217) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00003907) |
| 225100000X Physical Therapist (Licence: TX CP000841T) | |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2023-07-26 |