| NPI | 1437343548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1316) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013344) |
| 225100000X Physical Therapist (Licence: MN 8731) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2022-03-08 |