| NPI | 1073904306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9852) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070020567) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |