| NPI | 1295284628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017703) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26035) |
| 225100000X Physical Therapist (Licence: TX 1282638) | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2024-05-06 |