| NPI | 1225850696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13623) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 65543) |
| 225100000X Physical Therapist (Licence: AZ 034335) | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2026-01-20 |