| NPI | 1922031459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19523) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012025) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-10-31 |