| NPI | 1689228595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1326122) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 3124570) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2025-05-28 |