| NPI | 1184332215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12998) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 5081) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2026-04-29 |