| NPI | 1669920765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1293131) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1293131) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 12738335) | |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2026-09-24 |