| NPI | 1003005414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33804) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012517) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |