| NPI | 1043057870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 13971940-2401) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2025-10-22 |