| NPI | 1770533796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 2175024) |
| Additional Taxonomies | 2251H1200X Physical Therapist Hand (Licence: WI 9410000049) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |