| NPI | 1003076571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2689) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8213) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2014-06-03 |