| NPI | 1841443348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11706) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013476) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2013-07-31 |