| NPI | 1215447180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 15501) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018449) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2024-11-19 |