| NPI | 1346773140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10588) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 077260) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2021-12-20 |