| NPI | 1245370634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19955) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501011045) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2026-04-16 |