| NPI | 1093348807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: TX 1329172) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2023-10-18 |