| NPI | 1558774505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1143873) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 110387) |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2014-06-07 |