| NPI | 1679818108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1329913) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 39618) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2020-08-20 |