| NPI | 1386642585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: PA DAPT000611) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: PA PT007929L) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2014-10-30 |