| NPI | 1093833055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: OR 9911000219) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4346) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-04-16 |