| NPI | 1710122445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18477) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013767) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |