| NPI | 1598928293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3236) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8166) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2020-01-17 |