| NPI | 1508027228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8289) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019322) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2009-07-14 |