| NPI | 1871138198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1325582) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 5308) |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2023-06-06 |