| NPI | 1750466736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: TX 1143097) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1143097) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-12-06 |