| NPI | 1265268130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16982-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 13561) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-16 |