| NPI | 1073859658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017162) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 99055195A) |
| 225100000X Physical Therapist (Licence: MD 24933) | |
| 225100000X Physical Therapist (Licence: IL 070-021759) | |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2023-08-28 |