| NPI | 1205467859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501302806) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2025-01-24 |