| NPI | 1043584410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11537) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032142-1) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2019-09-10 |