| NPI | 1427254382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 005034) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 0495) |
| 225100000X Physical Therapist (Licence: MN 2457) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2012-08-03 |