| NPI | 1215228648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 5611) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8735) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2024-12-27 |