| NPI | 1417638669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12281) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10803) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |