| NPI | 1598461352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14943) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501302474) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-08-09 |