| NPI | 1013166339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 55010129933) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-018957) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2018-06-25 |