| NPI | 1467909218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 117338) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10501) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2017-01-12 |