| NPI | 1609825504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19567) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT4917) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2016-06-20 |