| NPI | 1134239601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6947) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: VA 2305204361) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-04-29 |