| NPI | 1629368303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0331871) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014701) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |