| NPI | 1467625699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11703) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 6020) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2019-10-26 |