| NPI | 1811226434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501006774) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 2466670) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2025-06-09 |