| NPI | 1720496326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: UT 9047266-2401) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: UT 9047266-2401) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2014-07-27 |