| NPI | 1265216915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 14077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2023032665) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2025-09-16 |