| NPI | 1104595271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP032037T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501020121) |
| 225100000X Physical Therapist (Licence: KY 008921) | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2024-07-16 |