| NPI | 1801976832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501015806) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070003506) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2012-02-17 |