| NPI | 1578414967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX OR260311) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1404604) |
| Enumeration Date | 2026-02-03 |
| Last Update Date | 2026-08-04 |