| NPI | 1801809231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9438) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: MI 5501014538) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-01-15 |