| NPI | 1710333729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017497) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012013A) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |