| NPI | 1487730826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501006228) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2019-01-16 |