| NPI | 1245707439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: MI 5201010378) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2024-10-15 |