| NPI | 1164711776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT4484) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT2296) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2019-05-23 |