NPI | 1932441102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501013756) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501013756) |
Enumeration Date | 2013-03-26 |
Last Update Date | 2018-06-04 |