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 |