| NPI | 1598395956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033741) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018682) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2025-12-30 |