| NPI | 1225266273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8428) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004416) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2010-09-27 |