| NPI | 1750964391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: MN 106655) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 121679) |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2023-08-25 |