| NPI | 1295299857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10161) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-10-15 |