| NPI | 1861683716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 6523-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501010427) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |