| 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 |