| NPI | 1689821357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 4627-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 5336) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2018-05-22 |