| NPI | 1720107485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9936) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501011397) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-02-11 |