| NPI | 1063592384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 2882) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: CO 1475) |
| 225XH1200X Occupational Therapist Hand (Licence: CO 1475) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-08-10 |