| NPI | 1487802641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1370) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6094) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |