| NPI | 1437442779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11772-24) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4404-26) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2020-09-11 |