| NPI | 1831288232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22739) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT10304) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-09-15 |