| NPI | 1518282029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36425) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013181) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2014-12-31 |