| NPI | 1326550674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11582) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 033298) |
| 225100000X Physical Therapist (Licence: MI 5501018407) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2026-01-26 |