| NPI | 1326204157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017759) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT34713) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2025-02-05 |