| NPI | 1225745292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501303436) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NM PT6173) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-10-11 |