| NPI | 1306149893 |
|---|---|
| Former Name | KATHERINE MARY PRINDIVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7560) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070013218) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2015-07-02 |