| NPI | 1760885974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MI 5501003124) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501003124) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2015-09-19 |