| NPI | 1831199231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: PA PT006665L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT006665L) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-06-26 |