| NPI | 1437327251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004716) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8062) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2011-05-16 |