| NPI | 1710319751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13734-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 2162877) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2024-12-04 |