| NPI | 1326294703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1216836) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 34754) |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2014-08-14 |