| NPI | 1003534751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501302351) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2023-03-06 |