| NPI | 1073581534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 15397) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: MD 15397) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2008-01-25 |