| NPI | 1740215508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1296) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7286) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-03-25 |