| NPI | 1275108110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16202-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 12422) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2023-02-08 |