| NPI | 1174555841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT3065) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1145910) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1145910) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-04-04 |