| NPI | 1396173563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1163113) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: CA 39971) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2014-09-04 |