| NPI | 1073136180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12456) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 14945-24) |
| 225100000X Physical Therapist (Licence: WI 14945) | |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2024-04-26 |