| NPI | 1003068560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31005495A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06003312A) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2024-03-06 |