| NPI | 1275985020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10268) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 10268) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2022-01-14 |