| NPI | 1083872733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1007) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 5842) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2018-03-28 |