| NPI | 1265537559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 151035) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-03-02 |