| NPI | 1134859259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: UT 128419121-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 12841921-2401) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2023-01-10 |