| NPI | 1427321660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 9597PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9248) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2022-12-12 |