NPI | 1922665124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1318316) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1318316) |
Enumeration Date | 2019-05-22 |
Last Update Date | 2025-08-18 |