| NPI | 1902295868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: UT 9407490-2401) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT29639) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2017-02-01 |