| NPI | 1437534765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14021-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10021) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2018-10-03 |