| NPI | 1841409596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501011598) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05008285A) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-09-10 |