| NPI | 1144532284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.012899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI PT.012899) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2018-03-29 |