| NPI | 1033348040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12975) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8291) |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2015-09-03 |