| NPI | 1740399476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 104831) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: MO 1041100253) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-08-24 |