| NPI | 1477245975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 2623) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 4545) |
| 225X00000X Occupational Therapist (Licence: IA CP024329T) | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-08-01 |