| NPI | 1497785711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7292) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 1298) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-12-05 |