| NPI | 1417081209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7914) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015595) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-04-17 |