| NPI | 1801490339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019851) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-12-04 |