| NPI | 1780092387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9603) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3251) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2014-07-27 |