| NPI | 1205959624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: TX 1028496) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1028496) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: 1028496) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1028496) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2019-02-24 |