| NPI | 1588747372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1049468) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1049468) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-11-16 |