| NPI | 1235161670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1249) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6894) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-12-26 |