| NPI | 1336472901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11626-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 2829) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2014-04-16 |