| NPI | 1922634724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1309138) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: 1309138) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |