| NPI | 1205087632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501013464) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.016453) |
| 225100000X Physical Therapist (Licence: IN 05009550A) | |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2017-01-18 |