| NPI | 1154553881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501015859) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT24886) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2012-11-30 |