| NPI | 1437158268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7407) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2007-07-09 |