| NPI | 1831398577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501006274) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-007142) |
| 225100000X Physical Therapist (Licence: GA PT005301) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2018-03-17 |