| NPI | 1003692427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13305) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2746) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-06-11 |