| NPI | 1235599259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: UT 12115579-2401) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT291140) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2021-10-15 |