| NPI | 1942868385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 13307) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019171) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2026-03-16 |