| NPI | 1932352515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64707) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501008609) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2023-12-22 |