| NPI | 1225483365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MN 10027) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MN 10027) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2020-04-06 |