| NPI | 1831461979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP000844T) |
| 225100000X Physical Therapist (Licence: OK CP025316T) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CO 11527) | |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2024-09-27 |