| 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 |