| NPI | 1407022064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NC 11610) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 6889) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2021-10-19 |