| NPI | 1194955492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8382) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015632) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2012-08-16 |