| NPI | 1104346519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TN 13022) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1295761) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2020-06-30 |