| NPI | 1962903518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT296010) |
| 2251N0400X Physical Therapist, Neurology (Licence: MI 5501018365) | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2022-03-24 |