| NPI | 1568813731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015588) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501017570) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2021-09-08 |