| NPI | 1396927950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501002903) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MI 5501002903) |
| 2251N0400X Physical Therapist, Neurology (Licence: MI 5501002903) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: MI 5501002903) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501002903) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2008-05-12 |