| NPI | 1154096741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1206916) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1206916) |
| 2251N0400X Physical Therapist, Neurology (Licence: TX 1206916) | |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-09-13 |