| NPI | 1235484585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: TX 1220296) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1220290) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2014-12-16 |