| NPI | 1679218606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374K00000X |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 261QH0100X Clinic/Center, Health Services | |
| 174400000X Specialist | |
| 174400000X Specialist | |
| 2251H1200X Physical Therapist, Hand | |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-26 |