NPI | 1033603857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501002878) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2018-06-15 |
Last Update Date | 2018-06-15 |