| NPI | 1336477827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: CA 36251) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012808) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2022-02-11 |