| NPI | 1962965426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501002781) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2024-06-19 |