| NPI | 1013520600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4381) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019696) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2022-08-17 |