| NPI | 1578029328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019066) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT022145) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2026-01-20 |