| NPI | 1841435575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 003816) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501003144) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |