| NPI | 1346307758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 352) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 2034) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |