| NPI | 1619773231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 12792) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1406127) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-03-28 |