| NPI | 1699442194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501304089) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT019498) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2026-07-16 |