| NPI | 1265581391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8924) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 70013685) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-02-10 |