| NPI | 1427683960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4619) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019510) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2022-09-01 |