| NPI | 1457755415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305209080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016936) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-12-23 |