| NPI | 1922248889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: NC 2165) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 2165) |
| 174400000X Specialist (Licence: NC 2165) | |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2020-11-18 |