| NPI | 1427575208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12126) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 13291) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2021-01-28 |