| NPI | 1255605671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 6402) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 2230) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |