| NPI | 1497051452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016343) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23563) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2014-11-13 |