| NPI | 1194924720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1440) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 03976) |
| 225100000X Physical Therapist (Licence: MN 7836) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2013-11-08 |