| NPI | 1760981922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1284929) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: 1284929) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2020-10-31 |