| NPI | 1205879962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 5798-024) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 678-026) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-08-10 |