| NPI | 1881094928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1869) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9665) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2018-03-17 |