| NPI | 1053911362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 308061) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019726) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2025-06-26 |