| NPI | 1851543235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7791) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 9231) |
| 225100000X Physical Therapist (Licence: TN 7798) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |