| NPI | 1063947455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018005) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2023-12-11 |