| NPI | 1689782195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1245442) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501011990) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-02-06 |