| NPI | 1184789356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8927) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5332) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2013-10-04 |