| NPI | 1497181358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MI 5501011124) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: OH 009534) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2017-02-28 |