| NPI | 1396236675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296619) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018680) |
| 225100000X Physical Therapist (Licence: ID PT-6443) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2022-02-08 |