| NPI | 1336199819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501010274) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH Pt10819) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-08-22 |