| NPI | 1740613835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AR 3537) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1228752) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2018-07-25 |