| NPI | 1821324369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1372) |
| Enumeration Date | 2009-10-18 |
| Last Update Date | 2009-10-18 |