| NPI | 1699943365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012532) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34433) |
| 225100000X Physical Therapist (Licence: IN 05008820A) | |
| 225100000X Physical Therapist (Licence: NY 029455) | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |