| NPI | 1336351741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501004188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 4250) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2013-08-15 |