| NPI | 1306127451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11424) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03701) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2020-08-27 |