| NPI | 1992077861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6624) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015704) |
| 225100000X Physical Therapist (Licence: DE J1-0002759) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |