| NPI | 1720301039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016702) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015048) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2023-08-01 |