| NPI | 1982129763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1285827) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1295827) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-09-21 |