| NPI | 1558361170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist Hand (Licence: OR 4258) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4258) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2012-01-11 |