| NPI | 1740342765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8272) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10539-024) |
| 225100000X Physical Therapist (Licence: CA 36302) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2018-08-13 |