| NPI | 1407259955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1796) |
| Additional Taxonomies | 174400000X Specialist |
| 225100000X Physical Therapist (Licence: MN 10128) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2021-09-27 |