| NPI | 1013236264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501015966) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032356) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2016-04-18 |