| NPI | 1184179459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: TX 1280377) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2022-09-27 |