| NPI | 1841202314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 5806) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 2258) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-08-27 |