| NPI | 1407250244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502001499) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 24946) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2020-07-30 |