| NPI | 1699191320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1240048) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |