| NPI | 1528560448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 105485) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018461) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2020-11-24 |