| NPI | 1134402118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26871) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT14243) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2018-05-11 |