| NPI | 1437302726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL-10205) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013891) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2011-03-03 |