| NPI | 1114197928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501015943) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016243) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2018-06-07 |