| NPI | 1154620847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7318) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-018014) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2018-05-29 |