| NPI | 1316323033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10971) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 014807) |
| 225100000X Physical Therapist (Licence: KS 11-05131) | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2017-11-29 |