| NPI | 1831905843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501304020) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT021297) |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2025-09-23 |