| NPI | 1245580752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1219078) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2023-05-05 |