| NPI | 1396521811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13299) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 19685) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-10-16 |