| NPI | 1831344506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24270) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012091) |
| Enumeration Date | 2008-11-23 |
| Last Update Date | 2008-11-23 |