| NPI | 1184762957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1079234) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2022-05-19 |