| NPI | 1982312054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501302235) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT019828) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |