| NPI | 1437477098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019679) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2020-09-30 |