| NPI | 1134539315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1802) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9457) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2018-06-29 |