| NPI | 1285241414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019754) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 164544) |
| 225100000X Physical Therapist (Licence: OH PT018709) | |
| 225100000X Physical Therapist (Licence: KY 008069) | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |