| NPI | 1942914874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD CP025337T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501302328) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-01-23 |