| NPI | 1346741683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501013892) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P20353) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2022-02-26 |