| NPI | 1275968810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0013661) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9357) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2023-02-10 |