| NPI | 1184034506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012557) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 23270) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |