| NPI | 1477732121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501013317) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT28137) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2018-09-23 |