| NPI | 1629192182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 2728) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: HI 2728) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: HI 2728) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-11-27 |