| NPI | 1326361247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8910) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT36513) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2019-11-27 |