| NPI | 1073162939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019305) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2023-01-05 |