| NPI | 1326412958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1300268) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2019-10-09 |