| NPI | 1093131971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 12113) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 121950) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2019-01-08 |