| NPI | 1144934985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-033474) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501302409) |
| 225100000X Physical Therapist (Licence: CA 305948) | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-06-24 |