NPI | 1194821314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005629) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 004502) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2007-07-08 |