| NPI | 1083152201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MN 8419) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8419) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2026-09-16 |