| NPI | 1831911973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16969-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501303515) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |