| NPI | 1558460436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501001061) |
| Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary (Licence: MI 5501001061) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-13 |