| NPI | 1932724622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501011870) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2025-05-06 |