| NPI | 1134545320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501020082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023209) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2021-10-08 |