| NPI | 1538571021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1992) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9702) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-10-31 |