| NPI | 1013566652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13596) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.024675) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2025-02-20 |