| NPI | 1801913546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 6674) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207167) |
| 225100000X Physical Therapist (Licence: MD 24407) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2013-03-21 |