| NPI | 1992534127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TN 16051) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1382425) |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2024-11-26 |