NPI | 1962950667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9959) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MN 9959) |
225100000X Physical Therapist (Licence: ND 1732) | |
Enumeration Date | 2016-09-12 |
Last Update Date | 2017-03-16 |