| NPI | 1164800520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |