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 |