| NPI | 1215958186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1138444) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1138444) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2021-12-30 |