| NPI | 1821337841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 1821337841) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 2290130) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2016-11-28 |