| NPI | 1447978234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501302883) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL 10956) |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2024-11-25 |