| NPI | 1376067785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: TX 1316241) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2023-12-08 |