| NPI | 1558522219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 113902) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 602400000) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2009-04-10 |