| NPI | 1629015300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7331) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1141) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2017-11-20 |