| NPI | 1841258555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1169897) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT16500) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2021-12-14 |