| NPI | 1609829621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1473) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6871) |
| 225100000X Physical Therapist (Licence: MN 7835) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2011-02-01 |