| NPI | 1043322134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004839) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7678) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-08-24 |