| NPI | 1225073893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1198) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6920) |
| 225100000X Physical Therapist (Licence: NE 2344) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2023-02-06 |