| NPI | 1336378256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1067148) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC01212) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2010-12-11 |