| NPI | 1548765605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20847) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018610) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-05-21 |