| NPI | 1770678906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1055010) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: GA 008426) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-09-17 |