| NPI | 1710535083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1046639) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1046639) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |