| NPI | 1841250362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1216940) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NE 1904) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2023-03-10 |