| NPI | 1821385105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033485) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014735) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |