| NPI | 1972719516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: UT 8660083-2401) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: UT 8660083-2401) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: ID PT 1155) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-12-08 |