| NPI | 1225377286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38403) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016207) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2022-03-01 |