| NPI | 1407385073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1289920) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: TX 1289920) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1289920) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-04-21 |