NPI | 1447676606 |
---|---|
Former Name | ELIZABETH KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501013002) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MI 5501013002) |
Enumeration Date | 2014-03-12 |
Last Update Date | 2014-03-12 |