| NPI | 1700155967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 38795) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1212076) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2023-04-24 |