| NPI | 1447563424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1238253) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 023089-1) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2018-03-17 |