| NPI | 1003995838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251E1300X Physical Therapist Electrophysiology, Clinical (Licence: TN PT7593) |
| Additional Taxonomies | 2251E1300X Physical Therapist Electrophysiology, Clinical (Licence: MI 5501007407) |
| 2251X0800X Physical Therapist Orthopedic (Licence: TN PT7593) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: MI 5501007407) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-02-17 |