| NPI | 1205946159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT296437) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1201019) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1201019) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-07-07 |