| NPI | 1376375253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501303378) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64497) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |