| NPI | 1265045793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13373) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27814) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2024-05-13 |