| NPI | 1407988918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1158967) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1158967) |
| 2251N0400X Physical Therapist, Neurology (Licence: TX 1158967) | |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2007-08-12 |