| NPI | 1154396935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305202807) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7544) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-08-09 |