| NPI | 1699742775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1368821) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501004091) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2024-01-10 |