| NPI | 1467927962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: UT 10892674-2401) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1292913) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |