| NPI | 1063540532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8070) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10571-024) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-12-31 |