| NPI | 1598856528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1161240) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1161240) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-09-25 |