| NPI | 1528040300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1099737) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8178) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2022-04-18 |