| NPI | 1326203829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9604) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004240) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2023-08-08 |