| NPI | 1154178937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501303299) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0020873) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2026-03-11 |