NPI | 1205877909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1074201) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1074201) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2013-04-01 |