| NPI | 1265937718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 306350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013945) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2025-01-21 |