| NPI | 1073745550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1486) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8431) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2011-03-29 |