| NPI | 1043712987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501014536) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA 60208969) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1187393) | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |