| NPI | 1356889729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1286083) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CT 003061) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |