| NPI | 1326717315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1354788) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 3127890) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-07-15 |