| NPI | 1083824874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501013234) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.015727) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-09-12 |