| NPI | 1659645109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502001123) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2019-09-19 |