| NPI | 1477275402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39420) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501302065) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2023-09-20 |