| NPI | 1518422351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1312508) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1312508) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |