| NPI | 1285513242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16955-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 13711) |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |