| NPI | 1295231389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501303372) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502005497) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2025-11-25 |