| NPI | 1306564380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12858) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 114628) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-09-01 |