| NPI | 1194567362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13727) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 5154) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-11-11 |