| NPI | 1235243197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033114) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012254) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2013-09-24 |