| NPI | 1043488802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1229030) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305205289) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1229030) | |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2021-09-16 |