| NPI | 1972999761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist Hand (Licence: NY 043092) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 91522662401) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-12-04 |