| NPI | 1235171141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1012789) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-09-30 |