NPI | 1376735258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8763) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004078) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2011-09-08 |