| NPI | 1932707510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019774) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 55010199774) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2025-02-10 |