| NPI | 1396537999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 17375-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 13935) |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-06-23 |