| NPI | 1285066688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1331328) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AK 2635) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2024-04-16 |