| NPI | 1982602645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12518) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: CT 004444) |
| 2251H1200X Physical Therapist, Hand (Licence: VA 2305208812) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2021-01-29 |