| NPI | 1023032299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11121) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: OH PT007664) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-12-08 |