| NPI | 1730353582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4177) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305001845) |
| 2251H1200X Physical Therapist, Hand (Licence: VA 2305001845) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2012-05-23 |