| NPI | 1447802459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20523) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018696) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2025-07-09 |