| NPI | 1477954733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501004727) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |