| NPI | 1447350244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501007927) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI L929153) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-02-24 |