| NPI | 1134600778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1309317) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1309317) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1309317) | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2021-05-04 |