| NPI | 1851532055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT000815) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501001468) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2020-12-01 |