| NPI | 1285265868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501304224) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2025-11-21 |