| NPI | 1770516940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 3087) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501003044) |
| 225100000X Physical Therapist (Licence: IL 070004383) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |