| NPI | 1578782843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1207819) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AR 2717) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2017-09-11 |