| NPI | 1669116406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 2297040401) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2024-08-07 |