| NPI | 1962484089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7012) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: AZ 7012) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2022-07-26 |