| NPI | 1982758694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1719) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 0663) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |