| NPI | 1578750188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10698) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP019259T) |
| 225100000X Physical Therapist (Licence: MI PENDING) | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2023-04-20 |