| NPI | 1437272309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 6494) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT010166L) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2007-07-08 |