| NPI | 1215346291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1849) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9813) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2016-11-16 |