| NPI | 1134353428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PA023186) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN MN9229) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2018-03-23 |