| NPI | 1073982641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MI 5501002736) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501002736) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2017-01-19 |