NPI | 1376787457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8089) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10157) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2009-04-21 |