| NPI | 1548493653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501014581) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT292619) |
| 376G00000X Nursing Home Administrator (Licence: CA 012579) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2024-04-29 |