| NPI | 1427170836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501004595) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: MI 5201006717) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-09-28 |