| NPI | 1326696469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1078525) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: TX 1078525) |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2019-09-02 |