| NPI | 1386815710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 82165) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7552) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2024-03-14 |