| NPI | 1326196668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 272664-2401) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: UT 272664-2401) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-05-25 |