| NPI | 1225425812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5050) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 3309) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2021-03-23 |