| NPI | 1376963447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1204778) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 114175) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |