| 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 |