| NPI | 1215180484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1359782) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OK 124875) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: OK CPO24875T) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA00720100) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 019808-1) | |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2023-09-07 |