| NPI | 1912152497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012992) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12023) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2024-02-13 |