| NPI | 1669808424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14538) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016447) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-25 |