| NPI | 1598659260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT5511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0020451) |
| 225100000X Physical Therapist (Licence: TX 1402479) | |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |