| NPI | 1457764011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1246542) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4168) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2019-11-22 |