| NPI | 1275087645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT4257) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2025-01-06 |