| NPI | 1376386490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16661) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 13693) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2025-07-23 |