| NPI | 1730502543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3370) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: HI 1055) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2026-01-22 |