| NPI | 1265749816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13263-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8603) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2019-11-06 |