| NPI | 1679525570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 01829) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: MO 9611000171) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-07-25 |