| NPI | 1174029680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1285) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10608) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2025-02-20 |