| NPI | 1437535424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1289180) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OK 5040) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA 43455) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2022-10-31 |