| NPI | 1750144945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT43348) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501303218) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2025-07-03 |