| NPI | 1932512464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1243590) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1243590) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2022-05-20 |