| NPI | 1396915575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10082-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7353) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2017-10-24 |