| NPI | 1164481909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: MO 2004022969) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2004022969) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2012-08-13 |