| NPI | 1306838297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 00542) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 02278) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2009-06-15 |