| NPI | 1326778127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: TX 1360937) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2024-01-18 |