| NPI | 1366028250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032153) |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: WI 14928-24) | |
| 225100000X Physical Therapist (Licence: ND 2362) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-04-04 |