| NPI | 1750740445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 0666) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8482) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |