| NPI | 1568802064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9297) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 3041) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-10-16 |