| NPI | 1740677616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: PA PT 006246-L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT 006246-L) |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2015-04-18 |