| NPI | 1407095748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1504) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8952) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2012-10-09 |