| NPI | 1811900533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 6844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501011935) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-06-07 |