| NPI | 1073673646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1163170) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 1163170) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1163170) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2023-05-10 |