| NPI | 1639592652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 013456) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015892) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2019-04-25 |