| NPI | 1043942097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 12844006-2401) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: UT 12844006-2401) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-10-20 |