| NPI | 1316261175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32443) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013824) |
| 225100000X Physical Therapist (Licence: NM 3815) | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2019-10-02 |