| NPI | 1144239153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 2507) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL6663) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2021-03-08 |