| NPI | 1417323049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12880) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42772) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2022-10-14 |