| NPI | 1730643354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32328) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT18427) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2020-03-11 |