| NPI | 1588044853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-4063) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: HI OT1467) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2017-03-21 |