| NPI | 1073190591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12357) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 299954) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-12-23 |