| NPI | 1033485776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38039) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014771) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2022-02-11 |