| NPI | 1285031914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29472) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT16195) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-12-13 |