| NPI | 1477543429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: KY 000713) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 000713) |
| 225100000X Physical Therapist (Licence: IN 05006654A) | |
| 2251H1200X Physical Therapist, Hand (Licence: IN 05006654A) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2014-10-21 |