| NPI | 1457878498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 142340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018392) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2019-11-25 |