| NPI | 1225509110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004396) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10143) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |