| NPI | 1629157508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 2590) |
| Additional Taxonomies | 2251H1200X Physical Therapist Hand |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2015-09-14 |