| NPI | 1588706709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22947) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1023083) |
| 2251P0200X Physical Therapist Pediatrics (Licence: DC PT871219) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-05-25 |