| NPI | 1235778556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019701) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019417) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2023-11-09 |