| NPI | 1972160356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34562) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT18823) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2023-06-22 |