| NPI | 1558598326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3682) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013312) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |