| NPI | 1144579293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016008) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.013965) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2023-09-12 |