| NPI | 1467726125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016332) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19893) |
| 225100000X Physical Therapist (Licence: MI 5501302557) | |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2023-05-31 |