| NPI | 1386883478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1295719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870977) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 37507) | |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2020-06-02 |