| NPI | 1679623581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL pt23262) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT12128) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-11-28 |