| NPI | 1689948325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8252) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014173) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |