| NPI | 1942236815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 4364) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 884) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2011-04-21 |