| NPI | 1447694161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30197) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012379) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2025-07-29 |