| NPI | 1275037988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 5501011022) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: MI 5501011022) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2021-07-30 |