| NPI | 1194150516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501014664) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2024-10-15 |