NPI | 1487718060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1052017) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: TX 1052017) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2010-04-28 |