| NPI | 1952435026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 2509) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MN 2509) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MN 2509) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |