| NPI | 1063105500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13132) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 5067) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-06-19 |