| NPI | 1275839656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10748) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004680) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2019-08-20 |