| NPI | 1245537000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014662) |
| 225100000X Physical Therapist (Licence: SC 6685) | |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2026-04-16 |