| NPI | 1205722196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 5246) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-20 |