| NPI | 1649900903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: UT 13989593-2401) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1362226) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2025-04-11 |