| NPI | 1265028021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13370) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 4372) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2024-01-22 |