| NPI | 1023388444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 115408) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501011076) |
| 225100000X Physical Therapist (Licence: MN 7940) | |
| 225100000X Physical Therapist (Licence: FL 28290) | |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2023-03-08 |