| NPI | 1669069506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019839) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: RI PT03580) | |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2024-08-26 |