| NPI | 1073821302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501010981) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 5501010981) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2018-06-10 |