| NPI | 1932329299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1163617) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1163617) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: LA 06568R) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2021-12-06 |