| NPI | 1225743750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 5038) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 12973) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-11-30 |