| NPI | 1144663931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9586) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11964-24) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2014-08-01 |