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 |