| NPI | 1831640853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 0519) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 2593) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |