| NPI | 1538535844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501302864) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502004695) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2024-01-31 |