| NPI | 1952855090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019174) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012201A) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2019-09-12 |