| NPI | 1316570864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1328491) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: TX 1328491) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1328491) | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |