| NPI | 1538920624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019992) |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2025-03-01 |