| NPI | 1518941038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: TX 1250530) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: NC 9615) |
| 225100000X Physical Therapist (Licence: TN 6353) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-03 |