| NPI | 1669035002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23621) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019252) |
| 225100000X Physical Therapist (Licence: CA 295488) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2024-10-07 |