| NPI | 1487746913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7853) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-03-03 |