| NPI | 1154090462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12359) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2603) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2023-11-17 |