NPI | 1689184293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1233109) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: TX 1233109) |
Enumeration Date | 2017-10-09 |
Last Update Date | 2018-03-17 |