| NPI | 1609520725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1375266) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501301834) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-08-29 |