| NPI | 1730388323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1177343) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: TX 1177343) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2023-08-21 |