| NPI | 1043465149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: MI 5501013616) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: MI 5501013616) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2011-03-23 |