| NPI | 1720556384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: FL 41158) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MI 5501018686) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2025-08-25 |