| NPI | 1679966543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1256031) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1256031) | |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2022-04-12 |