| NPI | 1770052938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MI 5501004109) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: 5501004109) |
| Enumeration Date | 2018-11-17 |
| Last Update Date | 2018-11-17 |