| NPI | 1346741527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 34524) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018040) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2020-08-25 |