| NPI | 1346481819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10934) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1195580) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2021-06-21 |