| NPI | 1801750641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 13198) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501304284) |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2026-01-26 |