| NPI | 1578951984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017217) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012785A) |
| 225100000X Physical Therapist (Licence: CA 42026) | |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2022-07-21 |