| NPI | 1629745401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 32972) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT6081) |
| 225100000X Physical Therapist (Licence: CO PTLP.0000215) | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2023-06-12 |