| NPI | 1861949570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1302860) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1302860) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-09-10 |
| Last Update Date | 2023-11-06 |