| NPI | 1407289549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9456) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 16169) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2023-03-06 |