| NPI | 1861210700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501303481) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT021414) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |