| NPI | 1275575300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7264) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1044) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2014-08-26 |