| NPI | 1730895509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501302292) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: MI 5501302292) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-26 |