| NPI | 1508394248 |
|---|---|
| Former Name | BONI MAE SLAGERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2021-07-21 |