| NPI | 1467933010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1299080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012262) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2019-02-25 |