| NPI | 1922464882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 910) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 5073) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |