| NPI | 1104194224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1267018) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 034509) |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2016-11-07 |