| NPI | 1427392463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018140) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011431A) |
| 225100000X Physical Therapist (Licence: VA 2305207692) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-03-17 |