| NPI | 1841177532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT-2025-0236) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1350385) |
| Enumeration Date | 2025-08-16 |
| Last Update Date | 2025-09-02 |