| NPI | 1265635684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AK 2568) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1171893) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2013-04-22 |