| NPI | 1134264187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1085785) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1-8578-5) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-12-24 |