| NPI | 1417281908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 10780R) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 242722) |
| 225100000X Physical Therapist (Licence: OR 6054) | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2020-10-20 |