| NPI | 1982908968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: TX 1185907) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1185907) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2013-08-12 |