| NPI | 1245878271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10927) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 10927) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2023-06-14 |