| NPI | 1669775565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: MO 08150) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 08150) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |