| NPI | 1285859405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10862-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 011385) |
| 225100000X Physical Therapist (Licence: MI 1760332) | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2017-02-14 |