| NPI | 1962432161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 6466) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6158) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2018-05-22 |