| NPI | 1881779155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8248) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501017745) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-01-14 |