| NPI | 1073641361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5501013211) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013211) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-10-05 |