| NPI | 1750493037 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: TX 1148686) | 
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1148686) | 
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2025-09-11 |