| NPI | 1043510555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: FL PT 28010) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 28010) |
| 2251G0304X Physical Therapist Geriatrics (Licence: FL PT 28010) | |
| 2251N0400X Physical Therapist Neurology (Licence: MI 5501003802) | |
| Enumeration Date | 2010-10-31 |
| Last Update Date | 2013-04-25 |