| NPI | 1104306216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: TN 16421) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: TX 1306741) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2025-05-02 |