| NPI | 1922404235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7716) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016872) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2016-09-19 |