| NPI | 1750671442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 25121) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501011345) |
| 225100000X Physical Therapist (Licence: IN 05007750A) | |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |