| NPI | 1841531134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 6998) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015929) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2022-03-03 |