| NPI | 1841410578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7865) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 11063) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2015-09-09 |