| NPI | 1689633737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305001100) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: VA 9105000004) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2008-09-12 |