| NPI | 1194378620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11204) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-06073) |
| 225100000X Physical Therapist (Licence: ID PT-5556) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2023-11-20 |