| NPI | 1083993158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6496) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 6496) |
| 225XH1200X Occupational Therapist, Hand | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2012-11-20 |