| NPI | 1346385309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501011786) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MI 5501011786) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: MI 5501011786) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501011786) | |
| 2251N0400X Physical Therapist, Neurology (Licence: MI 5501011786) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2010-03-15 |