| NPI | 1588601769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005818) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2018-10-15 |