| NPI | 1013284819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: TX 1100105) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1100105) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2014-07-15 |