| NPI | 1124369434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9118) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12254-24) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-08-14 |