| NPI | 1306233630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209380) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006657) |
| 225X00000X Occupational Therapist (Licence: FL OT16476) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-11-20 |