| NPI | 1083944763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501010759) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI L1391211) |
| Enumeration Date | 2010-01-02 |
| Last Update Date | 2021-04-13 |