| NPI | 1366581191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 6467) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 915) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |