| NPI | 1538299177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 5904) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 1241) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-03-25 |