| NPI | 1649456971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT18789) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501008646) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2024-08-30 |