| NPI | 1336301704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC PT13066) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012800) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2024-12-07 |