| NPI | 1811020274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501003699) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031438) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-06-25 |