| NPI | 1679858526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 002204) |
| Additional Taxonomies | 2251H1200X Physical Therapist Hand |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |