| NPI | 1548142680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1406944) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: TX 1406944) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |