| NPI | 1770533754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist Hand (Licence: MD 27378) |
| Additional Taxonomies | 2251H1200X Physical Therapist Hand (Licence: PA PT006448L) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-01-11 |