| NPI | 1275412272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501304389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-034371) |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2026-02-04 |