NPI | 1720440159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017594) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41449) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2024-05-09 |