| NPI | 1447440466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8191) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7753) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2020-08-11 |