| NPI | 1326565375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10963) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026331) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-11-08 |